6th Annual

QND Wrestling

Instructional Wrestling Camp

Grades 1-8

Sunday, March 15, 2015

Registration: 11:30-Noon

Camp: Noon – 3 pm

Quincy Notre Dame High School-Wrestling Room

This will be a great opportunity for kids interested in wrestling to learn more about the sport and competitions.

$30 per camper: Includes: T-shirt, Instruction, Snack & Drink, as well as, admission/registration to the QND Open Wrestling Tournament on Saturday, March 21st ($15 Savings).

Equipment needed: shorts, socks, shoes, & T-shirt.

Please fill out the registration form below. Checks made payable to QND Wrestling. If you have any questions, contact Coach Ken Mansell @ 217-473-0717.

T-shirts are included with registration, however, only registrations received by Tuesday, March 10th, will be guaranteed correct sizes as our order must be placed. Registrations received after March 10th and up to registrations @ the door will select a size from what’s left available.

Send Registrations to: QND High School

Attn: Coach Mansell

1400 South 11th Street

Quincy, IL 62301

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Name: ______

Address: ______

Phone: ______Checks made payable to QND Wrestling

Parent Name ______Emergency Contact Number ______

Date of Birth: ____/____/____ Age: _____ Grade: _____ School ______

Years of wrestling experience: ______Circle T-shirt Size: YS YM YL AS AM AL AXL A2XL

I, the parent or guardian, state that the above camper is in good health and able to participate fully in camp activities. I also waive the rights to hold Quincy Notre Dame and its staff responsible for any injury sustained in this wrestling camp. Due to recent changes in the Illinois High School Association By-Laws in regard to recruiting, parents or sons must request information and authorization from QND personnel prior to their attendance at Quincy Notre Dame. Pursuant to Illinois High School Association By-Laws, I hereby authorize verbal and/or written communication from all the QND Administration, any coach and all school as defined in IHSA By-Laws 3.080.

Parent or Guardian Signature ______Date ______